Temp – Administrative – Certified Coder (Varied) Dallas, TX
Job Detail
Title: Temp – Administrative – Certified Coder (Varied) Dallas, TX
Description:
Fully remote position! Applicant must have the necessary equipment for the contract; 2 monitors, keyboard, mouse, web camera. If not, Agency must supply ahead of start date.
The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS), specialty clinics and/or inpatient OB/newborn encounters. This role is also responsible for charge review on clinic and hospital visits to ensure accurate professional charging and billing. This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity, established coding guidelines and Parkland’s policies to ensure accuracy of recorded patient medical information and appropriate reimbursement for services rendered.
- If a candidate has Risk Adjustment coding experience, they must also have Evaluation and Management (E/M) coding experience in addition to Risk Adjustment
RESPONSIBILITIES
- Code, abstract
and conduct charge quality review on all episodes of care on emergency
department (ED), same day surgery (SDS), outpatient clinic (OPC), observation
(OBS) and/or inpatient OB/newborn hospital and specialty clinic encounters
according to coding conventions, guidelines & hospital policy, analyzing
questionable documentation to ensure to the accuracy of information &
resolves identified issues. - Assigns
appropriate diagnosis and procedures codes utilizing ICD 10-CM/PCS, CPT, HCPCS,
HCC and HEDIS CAT II, E/M codes according to the Centers for Medicare &
Medicaid Services (CMS) requirements for both professional and hospital
billing. May assist in training and reviewing the work of other coders for
accuracy and efficiency. - Achieve and
maintain 95% accuracy on quality reviews and assigned productivity standards. - May verify,
edit and/or enter charges based on documentation or payer/billing requirements
reporting any discrepancies in a timely manner. - Updates, as
appropriate, patient database with classification codes and resolves conflicts
or inconsistencies to provide sufficient patient health information according
to Parkland’s standards. - Stays abreast
of the latest developments, advancements, and trends in the field of health
information management by attending workshops, reading professional journals,
actively participating in professional organizations, and integrates knowledge
gained into current work practices. - Identifies ways
to improve work processes and improve customer satisfaction. Makes
recommendations to supervisor, implements, and monitors results as appropriate
in support of the overall goals of the department and Parkland. - Facilitate a
positive working relationship with physicians, nurses, medical staff and
hospital employees to ensure that all work-related encounters are productive. - Maintains
knowledge of applicable rules, regulations, policies, laws and guidelines that
impact the Coding area. Develops effective internal controls designed to
promote adherence with applicable laws, accreditation agency requirements, and
federal, state, and private health plans. Seeks advice and guidance as needed
to ensure proper understanding. - Maintains CE
hours and renew annual coding credentials. - This position
is 100% Virtual. Virtual employees must also comply with all Parkland policies
and procedures governing the use of Parkland information resources. Virtual
employees must maintain all equipment lent by Parkland to perform the agreed
upon job duties in good working conditions. All employment responsibilities and
conditions in applicable Parkland policies and procedures apply to employees
while working virtually.